Active NPI
Jan-Care Ambulance of Raleigh County Inc
- Land Ambulance
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- JAN-CARE AMBULANCE OF RALEIGH COUNTY INC
- Practice address
- 117 South Fayette Street
Beckley, WV 25801-9056 - Phone
- (304) 255-2931
- Fax
- (304) 255-0222
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph T Cornett
- Title
- Vice President
- Phone
- (304) 255-2931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | WV | Primary |
Addresses
Primary practice location
117 South Fayette Street
Beckley, WV 25801-9056
Mailing address
PO Box 2414
Beckley, WV 25802-2414
Phone (304) 255-2931
Other practice location 1
3779 Robert C Byrd Dr
Beckley, WV 25801-2945
Phone (304) 255-2931
Other practice location 2
183 Rural Acres Dr
Beckley, WV 25801-3581
Phone (304) 255-2931
Other practice location 3
326 S Eisenhower Dr
Beckley, WV 25801-5850
Phone (304) 255-2931
Other practice location 4
110 McCreery St
Beckley, WV 25801-4602
Phone (304) 255-2931
Other practice location 5
106 Travelers Ln
Beckley, WV 25801-3351
Phone (304) 255-2931
Other practice location 6
107 Main St
Sophia, WV 25921
Phone (304) 255-2931
Other practice location 7
142 Third St
Beaver, WV 25813
Phone (304) 255-2931
Other practice location 8
1952 Robert C Byrd Drive
Beckley, WV 25801
Phone (304) 255-2931
Other practice location 9
172 Saxon Bolt Road
Arnett, WV 25007
Phone (304) 255-2931
Other practice location 10
765 Bolt Road
Fairdale, WV 25839
Phone (304) 255-2931
Other practice location 11
5743 Robert C Byrd Drive
Bradley, WV 25818
Phone (304) 255-2931
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000229636 | Other | WV | BCBS OF WV |
| 0149686 | Medicaid | OH | |
| 3810008649 | Medicaid | WV | |
| 1032235680001 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000327 | WV | Part B Supplier - Ambulance Service Supplier | 4981604238 | Practice locations: Mount Hope, WV; Sophia, WV; Macarthur, WV; Fairdale, WV; Beckley, WV; Arnett, WV; Beaver, WV |
| O20210217002920 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981604238 | Practice locations: Beckley, WV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1001937 | Jan Care Ambulance of Raleigh Co | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
3779 Robert C Byrd Dr
Beckley, WV 25801
110 McCreery St
Beckley, WV 25801
213 S Kanawha St
Beckley, WV 25801
Phone (304) 252-9963
183 Rural Acres Dr
Beckley, WV 25801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1346222502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2414",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258022414",
"telephone_number": "304-255-2931",
"fax_number": "304-255-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 SOUTH FAYETTE STREET",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258019056",
"telephone_number": "304-255-2931",
"fax_number": "304-255-0222"
}
],
"practiceLocations": [
{
"address_1": "3779 Robert C Byrd Dr",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258012945",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "183 Rural Acres Dr",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258013581",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "326 S Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258015850",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 McCreery St",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258014602",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 Travelers Ln",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258013351",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Main St",
"address_purpose": "LOCATION",
"city": "Sophia",
"state": "WV",
"postal_code": "25921",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "142 Third St",
"address_purpose": "LOCATION",
"city": "Beaver",
"state": "WV",
"postal_code": "25813",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1952 Robert C Byrd Drive",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "25801",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "172 SAXON BOLT ROAD",
"address_purpose": "LOCATION",
"city": "ARNETT",
"state": "WV",
"postal_code": "25007",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "765 Bolt Road",
"address_purpose": "LOCATION",
"city": "Fairdale",
"state": "WV",
"postal_code": "25839",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5743 Robert C Byrd Drive",
"address_purpose": "LOCATION",
"city": "Bradley",
"state": "WV",
"postal_code": "25818",
"country_code": "US",
"telephone_number": "304-255-2931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JAN-CARE AMBULANCE OF RALEIGH COUNTY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "CORNETT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "304-255-2931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WV",
"identifier": "000229636",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149686",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810008649",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032235680001",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
- Kathryn Jalazo
- Jan-Care Ambulance of Fayette County Inc
- Jan-Care Ambulance of McDowell County Inc
- Jan-Care Ambulance of Nicholas Co, Inc
- Jan-Care Ambulance of North Central WV Inc
- Jan-Care Ambulance of the Kanawha & Mid-Ohio Valleys Inc
- Jan-Care Ambulance of Tri State Division Inc
- Jan-Care Ambulance of Wyoming County Inc
- Diana Lynn Janney, MS,CCC-A
- Darlene Lynn Jarosz, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.